Videotape Order Form
To order a copy of Perspectives, Never
Give Up! and/or the
TBI Inservice Training Module please
print this form, fill in the necessary shipping and order information then
mail completed form along with your payment to:
Attn: Janet Tyler,
Ph.D.
Mail Stop 3055
The University of Kansas Medical Center
3901 Rainbow Blvd.
Kansas City, KS 66160
Please make checks payable to:
Dept.
of Special Education
Note:
We cannot accept credit cards. All checks must be
payable in U.S. dollars.
Price List
The price list below reflects the
cost of materials plus shipping & handling. Delivery within the
Cont'l U.S. generally takes between
5-7 business days; Delivery outside the U.S. can take up to 4-6 weeks.
|
Destination |
Videotape |
Module |
| Cont'l U.S. |
$12.50 ea. |
$30.00
ea.
|
| Alaska/Hawaii |
$14.00 ea. |
$33.00 ea. |
| Canada |
$15.00 ea. |
$35.00 ea. |
| International |
$17.00 ea. |
$45.00 ea.
|
Name, shipping address & phone number
(Please print)
Order Information
| Item |
Qty |
Cost Per
Item |
Subtotal |
| Perspectives Videotape |
|
|
|
| Never Give Up! Videotape |
|
|
|
TBI
Inservice Training
Module |
|
|
|
| |
|
Total
|
|
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